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Notice of Mate Yax Lien <br />net:raska <br />department • Read instructions on rev¢rse side <br />Lion Sarlai Number Coun[y Date Socfal 58<urity Number ~ <br />90141703 Hall 10-11-?9 79-~'~ <br />Nebrask I.D. Number 1Lr ¢n Type ~~r¢n Ffi¢d With Spause'S Social SeGUr"sty <br />1788167 rtymai <br />(~ Renewal .Register of oases <br />~ County Clerk Number <br />_ BUSINESS NAME ANO LOCATfON ADDRESS TAXPAYER NAME AND MAi LINO ADDRESS <br />Business Name Name <br />Msstex Gilt Iiic Master Bilt Inc <br />Street Adtlress Street or otner Marling Address <br />52l~ South Hebb Road Box 249b <br />City State Zip Code City v State Ziv Code <br />Grand Island Ne 68801 Grand Islam Ne b8841 <br />Pursuant to the revenue 2w~s of the State of Nebraska, notice is hereby given that ta~.es (including penalties, interest <br />and additions] have been assessed and are due from the above taxpayer and remain unpaid afttT demand. These taxes <br />constitute a lien upon properh• belonging to the taxpayer, or hereafter acquired by the taxpay r, and located in Ute <br />above county. Liens for sales and use taxes only attach to the rea! property belonging to the taxpayer, or hereafter <br />acquired by' the taxpayer, and located hi the above Cuunty. <br />Taz <br />CatWorY Tax Period <br />Number Data of <br />ASaOSSment i Amount of Tex <br />Penalty <br />Interest <br />~ Additions I @aleroca of <br />Awasament Dua <br />I 7-1-79 thru ~ <br />41 ! ?-31-79 I <br />14-9-71 39.75 <br />~•~ <br />I •%t0 <br />' I <br />1[5.15 <br /> i ~ I <br />~ ~ I <br />~ ~ ~ t _ <br /> <br />i i ~ ~ ~ <br />~ <br />~ 1 <br />I ~ i <br />i i <br />I ~ <br />! <br />TOTAL IS 1[5.15 <br />t hereby cMify mat tna Nebraska Department of Revenue naz complied with the revenue laws of the state of Nebraska M the detet- <br />m,natian of the amount mown to be due, and the taxpayer nos tailed to pay the amount due after tlemand. If thlS Noti¢e of State Tax Ueh is <br />an extension of an effective lien it serves tp _pntinue me Priority of the State's Interest in :RB affected praiMrty of [n0 taxpayer. <br />SIgB ~ ~ ----- <br />~!!lf6~ 9 -~`_3 ~ SDr'Cl~. APr'3't 1n-11-74-- <br />Al.:hpnZW 53 M Title Data <br />t FOR COUNTY OFFICIAL'S USE <br />NEBRASKA DEPAR7MENT'vF RE ~'ERUE - ih'n ~~te ana Cohort Copres TAXPAYER -Pink Cepy COUNTY OF-ICE - GoldenroC Gopy <br />4.:95-71 Rev. 5-79 <br />Supersebes a>93-75 Rev. 9-78 <br />• <br />